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North Carolina rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.69 / $1,615.00 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.49 / $365.47 / $607.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.63 / $591.85 / $903.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.41 / $2,011.11 / $3,793.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $523.33 / $934.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.59 / $427.41 / $629.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $511.00 / $2,101.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.50 / $427.80 / $761.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.00 / $1,557.00 / $11,999.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.26 / $400.92 / $1,000.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.48 / $2,100.00 / $11,102.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.44 / $2,645.44 / $3,207.68